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Doody's Review ServiceReviewer: Vincent F Carr, DO, MSA, FACC, FACP (Uniformed Services University of the Health Sciences)
Description: This is an update of a U.K. book to help general practitioners focus on some of the high-value issues in treating complex elderly patients. The previous edition was published in 2007.
Purpose: The book aims to encourage new clinicians to consider a career in caring for the elderly, providing them the basics.
Audience: While the intended audience is junior clinicians, there are many pearls and thought-provoking issues raised for all who have the opportunity to care for elderly patients in their practice.
Features: The book begins by looking at the worldwide demographics of how populations are aging, followed by how the National Health Service in the U.K. provides health and social care for the elderly. Subsequent chapters outline specific considerations in psychiatry, immobility, metabolic changes, and orthopedic, neurological, cardiovascular, and pulmonary diseases. One of the better chapters discusses palliative care — what it does and does not entail. An accompanying website has revision points, appendixes, and elderly considerations for specialty trainers.
Assessment: This is an enjoyable read for both new and experienced clinicians. It strives to find a reasonable balance between the aggressive treatment that younger patients demand with a more practical approach to the elderly who may not view treatment options in the same way.